innohep

innohep

tinzaparin

Manufacturer:

LEO Pharma

Distributor:

DKSH
Concise Prescribing Info
Contents
Tinzaparin Na
Indications/Uses
Venous thrombosis & thromboembolic disease including DVT & pulmonary embolus.
Dosage/Direction for Use
SC 175 anti-Xa IU/kg once daily for at least 6 days & until adequate oral anticoagulation is established.
Contraindications
Hypersensitivity to tinzaparin, heparin or Na metabisulfite. Current or history of heparin-associated thrombocytopenia (type II); uncontrolled severe HTN; septic endocarditis; intracranial or intraocular bleeding or other current active bleeding process; haemorrhagic diathesis (inherited or acquired), deficiency of coagulation factors, severe thrombocytopenia; severe liver or pancreas impairment; active gastric &/or duodenal ulcer disease; surgery involving the brain, spinal cord or eye; lumbar puncture, spinal or epidural anaesth; haemorrhagic stroke, cerebral aneurysm; retinopathy, vitreous haemorrhage. Women w/ abortus imminens. Newborns (risk of gasping syndrome due to benzyl alcohol content).
Special Precautions
Not indicated for serious pulmonary embolism ie, high-risk patients w/ hemodynamic instability. Not to be used in patients w/ asthma & hypersensitivity to sulphites. Not to be administered by IM or IV inj. Patients w/ uncontrolled arterial HTN; GI ulceration; suspicion of malignoma w/ bleeding tendency; history of PUD; nephrolith &/or ureterolith. Patients undergoing surgical procedures (especially orthopaedic) or presenting a concomitant inflammatory process. Perform platelet counts prior to administration, on 1st day of therapy & then regularly every 3 or 4 days & at the end of therapy. Concomitant use w/ drugs increasing serum K levels, oral anticoagulants, platelet inhibitors (eg, ASA). Hepatic impairment. Severe renal impairment (CrCl <30 mL/min). Not recommended during pregnancy & in pregnant women w/ prosthetic heart valves. Elderly (w/ renal impairment).
Adverse Reactions
Bleeding complications (skin, mucous membrane, wounds, GI, urogenital); increased aminotransferases, γ-GT, LDH, lipase; inj site haematoma & pain; increased serum K conc.
Drug Interactions
Concomitant administration of drugs affecting haemostasis (eg, NSAID, ASA, salicylates, vit K antagonists, dipyridamole & dextran) & drugs increasing serum K conc. Efficacy may be decreased w/ IV nitroglycerine.
MIMS Class
Anticoagulants, Antiplatelets & Fibrinolytics (Thrombolytics)
ATC Classification
B01AB10 - tinzaparin ; Belongs to the class of heparin group. Used in the treatment of thrombosis.
Presentation/Packing
Form
innohep inj 10,000 anti-Xa IU/mL
Packing/Price
2 mL x 10 × 1's
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